| NPI | 1104931492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN BRASSER CEO 616-754-4691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2010-05-24 |